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DEPARTMENT OF FINANCE

Roxas Boulevard Comer Pablo Ocampo, Sr. Street Manila 1004

REQUEST FOR QUOTATION

Date

May

19, 2022

Purchase Quotation No

138-2022

Gentlemen

:

Committee (BAC) Chairperson or

thru

the authorized canvasser of this Department not later than the time and date of the opening of the sealed quotation.

lN P. DIAZ, Oirector lV

entral Administration Office

After

having

carefully

read and accepted your General

conditions,

lAy'Ue quote you on the item

at prices noted above and bind ourselves to deliver

lhe

above articlesi merchandise

within

working days

from

receipt of your

valid

Purchase

Order

(PO).

The

quotation are good

only

up to

Supplier By:

QUANTITY UNIT

ARTICLE /

MERCHANDISE / SPECIFICATION

UNIT

PRICE

TOTAL

capsule capsule bottle capsule

tablet tablet tablet

bottle capsule

tablet tablet

boftle tablet capsule

tablet

tablet sac

tablet tablet

bottle capsule

Ambroxol

HCl, 75mg

Amlodipine

Besylate, 5mg

Anthraquinone Glycosides Salicylic Acid, 10ml

Azithromycin

diHCl, 500m9

Betahistine diHCl, 16mg

Betamethasone Dexchlorphenamine Maleate Butamirate Citrate

Calamine Dipenhydramine, 30ml Co-Amoxiclav, 625m9

Diclofenac Na,50mg Domperidone,

lomg

Hexetidine, 0.'l % x 120m1 Hyoscine N-butylbromide Loperamide, 2mg Loratadine, 10mg Losartan

K,50mg

Lozenges

Mefenamic Acid, 500m9 Metformin HCl,500mg Mouthwash, 500m1 Omeprazole, 20mg

page 1 of 2

23.65 14.85 330-00 151.00 71.78 42.O0 24.7 5 145.75 64.08 11.00 36.58 135.19 28.60 '15.00 24.75 ,t2.93 51.98 32.73 4.13 265.00 68.00

Canvassed by:

Please quote your lowest price on the item listed below, subject to the General Conditions at the back hereof and submit your quotation duly signed by your representative in sealed envelope direct to the Bids and Awards

4,730.00 3,267.00 660.00 30,200.00 2,871.20 4,200.00 4,950.00 29't.s0 7,689.60 1,6s0.00 2,560.60 6,537.12 5,720.00 4,500.00 7,425.00 5,172.OO 3,118.80 8,182.50 619.50 4,240.O0 6,800.00 200

220 2 200

40 100 200 2 120 150 70 48 200 300 300 400 60 250

r50

16 100
(2)

Republic of the Philipprnes

DEPARTMENT OF FINANCE

Roxas Boulevard Comer Pablo Ocampo. Sr. Srreet Manila I 00,1

REQUEST FOR QUOTATION

Date

:

May 19,2022

Purchase Ouotation No.

138-2022

Gentlemen

:

please quote your lowest price on the item listed below, subject to the General Conditions at the back hereof and submit your quotation duly signed by your representative in sealed envelope direct to the Bids and Awards Committee (BAC) Chairpe rson or

thru

the authorized canvasser of this Department not later than

the time and date of the opening of the sealed quotation

A N P. DIAZ, Director lV

entral Administration Office

After

having

carefully

read and accepted your General

conditions,

lny'Ve quote you on

the

item at prices noted above and bind ourselves to deliver the above articles/merchandise within

-

working days

from

receipt of your

valid

Purchase

Order

(PO). The quotation are good only up to

QUANTITY

UNIT

ARTTcLE / MERcHANDtSE / sPEclFlcATloN UNIT

PRICE

TOTAL

300 200 2 90 't000

sac

tablet tablet tablet tablet

sac bottle capsule

tablet

Oral Rehydration Salt

Paracetamol 325m9 + lbuprofen, 200m9 Paracetamol, 500m9

Phenylephrine HCI 1omg + Chlorphenamine + Paracetamol 500m9

Phenylephrine HCI 10mg + Paracetamol 500m9

Sodium Alginate + Calcium Carbonate + NaHC03, 10ml Sodium Chloride Sol 0.9%

l000ml,

Solution

for lrrigation

Tranexamic

Acid,500m9

Vitamins

-nothing

follows-

NOTE: Please include the following required documents upon submission

ofyour

proposal

1. Mayor's/ Business Permit 2. PhiIGEPS Regastration Number

(for

HRMOD-MDC use)

18.70 9.08 4.68 9.20

6.60 33.55 '147.13 45.10 15.68

1,870.00 1,8't6.00 2,808.00 4,600.00

1,980.00 6,710.00 294.26 4,059.00 15,680.00

155,202.08

Canvassed by

Supplier:

By:

Tel.

No.:

TIN

No. :

100 200 600 500

(3)

DEPARTMENT OF FINANCE

Roxas Boulcvard Comcr Pablo Ocanrpo. Sr. Strcct Manila I 004

REQUEST FOR QUOTATION

Date

:

May

'19,2022

Purchase Quotation

No. 138-2022

Gentlemen

:

Please quote your iowest price on the item listed below, subject to the General Conditions at the back hereof and submit your quotation duly signed by your representative in sealed envelope direct to the Bids and Awards Committee (BAC) Chairperson or

thru

the authorized canvasser of this Department not later than

the time and date of the opening of the sealed quotation

A lN P. DIAZ, Director lV

Central Administration Offi ce

After

having

carefully

read and accepted your General

condilions,

l^rue quote you on

the

item

at prices noted above and bind ourselves

lo

deliver the above articles/merchandise within

_

working days

from

receipt of your

valid

Purchase

Order

(PO).

The

quotation are good

only

up

to

Supplier By:

OUANTITY UNIT

ARTICLE /

MERCHANDISE / SPECIFICATION

UNIT

PRICE 200

220 2 200

40 100 200 2 120 150

70 48 200 300 300 400 60 250 '150 15 100

capsule capsule bottle capsule

tablet tablet tablet

bottle capsule

tablet tablet

bottle

tablet

capsule

tablet tablet

sac

tablet tablet

bottle capsule

Ambroxol

HCl, 7smg

Amlodipine

Besylate, 5mg

Anthraquinone

Glycosides Salicylic Acid, 10ml

Azithromycin

diHCl, 500m9

Betahistine diHCl, 15mg

Betamethasone Dexchlorphenamine Maleate Butamirate Citrate

Calamine Dipenhydramine, 30ml Co.Amoxiclav, 625m9

Diclofenac Na, 50mg Domperidone,

lomg

Hexetidine, 0.1%

x

120m1 Hyoscine N-butylbromide Loperamide, 2mg Loratadine, 'l0mg Losartan

K,50mg

Lozenges

Mefenamic Acid, 500m9 Metformin HCl, 500m9 Mouthwash, 500m1 Omeprazole, 20mg

page 1 of 2

Canvassed by

TOTAL

(4)

Republic of the Philippines

DEPARTMENT OF FINANCE

Roxas Boule\ard Conrer Pnblo Ocanrpo. Sr. Slrect Manila I 00,1

REQUEST FOR QUOTATION

Date May 19,2022

Purchase Quotation

No. 138-2022

Gentlemen

:

Please quote your lowest price on the item listed below, subject to the General Conditions at the back hereof and submit your quotation duly signed by your representative in sealed envelope direct to the Bids and Awards Committee (BAC) Chairperson or

thru

the authorized canvasser of this Department not later than

the time and date of the opening of the sealed quotation

lN P. OIAZ, Director lV

entral Administration Office

After

having

carefully

read and accepted your General conditions, l^y'i/e quote you on the item

at prices noted above and bind ourselves to deliver the above articles/merchandise within

_

working days

from

receipt of your

valid

Purchase

Order

(PO).

The

quotation are good

only

up to

S upplier

By:

Tel.

No.:

TIN

No.

QUANTITY UNIT

ARTICLE /

MERCHANDISE

/

SPECIFICATION

TOTAL

100 200 600 500

300 200 2 90 1000

sac

tablet tablet tablet tablet

sac bottle capsule

tablet

Oral Rehydration Salt

Paracetamol 325m9 +

lbuprofen,

200m9 Paracetamol, 500m9

Phenylephrine HCI 1omg + Chlorphenamine + Paracetamol 500m9

Phenylephrine HCI 1omg + Paracetamol 500m9

Sodium Alginate + Calcium Carbonate + NaHC03, 10ml Sodium Chloride Sol 0.9%'1000m1, Solution

for lrrigation

Tranexamic Acid, 500m9

Vitamins

-nothing

follows-

NOTE: Please include the following required documents upon submission of your proposal

1. lvlayor's/ Business Permit 2. PhiIGEPS Registration Number (for HRMDD-MDC use)

Canvassed by

UNIT

PRICE
(5)

1' The bidders are required to Submit brochures, literatures,. pictures and technical

l"L p"n"i","g to the brand and model of the equipment being offered

2. The quotation will not be considered unless it is properly signed by the biddeis authorized rePresentative

3. All prizes quoted herein are valid and binding for a period of sixty (60) days'

4. Bidder shall be responsible for the source of his equipment'

5. Subject to the provisions of the preceeding paragraph' where awardee has accepted a Purchase Oroer 1eO1 Uut fails to-deliver the required products within the time called for in tne same oider' ne must return the order accompanied by written explanations witnin tne period of delivery of the merchandise' Thereafter' if the awardee nas not

"o'pi"tld oetivery

within-

the period' the subject Po shall' be cancelled and ttre awarjsnati

Oe

witnirawn from that supplier' The DOF shall inen-furcnase tne required item from such other sources as it may determine' wltn ine price alference to be charged against the defaulting awardee'

6. The DOF reserves the right to reject any or all quotations' to waive any formality therein or to accept such quotations as may be considered most advantageous to the government.

Referensi

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